Active NPI
Pauravi Raval
- Podiatrist
- Waldwick, NJ
National Provider Identifier
1851437495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- PAURAVI RAVAL
- Practice address
- 36 Franklin Tpke
Waldwick, NJ 07463-1755 - Phone
- (201) 251-0911
- Fax
- (201) 251-7788
- NPI assigned
- Jan 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Pauravi PO N Raval, DPM
- Title
- Owner
- Phone
- (201) 251-0911
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | NJ | Primary |
Addresses
Primary practice location
36 Franklin Tpke
Waldwick, NJ 07463-1755
Mailing address
36 Franklin Tpke
Waldwick, NJ 07463-1755
Phone (201) 251-0911
Other names 1
- Active Foot & Ankle Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930092253 | NJ | DME Supplier - Physician - Podiatry | 8729109467 | Practice locations: Waldwick, NJ |
National Provider Directory
National Provider DirectoryLocations
36 Franklin Tpke
Waldwick, NJ 07463
Phone (201) 248-7704
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Waldwick, NJ
- NPI 1659451557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442448000000",
"number": "1851437495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 FRANKLIN TPKE",
"city": "WALDWICK",
"state": "NJ",
"postal_code": "074631755",
"telephone_number": "201-251-0911",
"fax_number": "201-251-7788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 FRANKLIN TPKE",
"city": "WALDWICK",
"state": "NJ",
"postal_code": "074631755",
"telephone_number": "201-251-0911",
"fax_number": "201-251-7788"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAURAVI RAVAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2015-09-17",
"status": "A",
"authorized_official_last_name": "RAVAL",
"authorized_official_first_name": "PAURAVI PO",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-251-0911",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Active Foot & Ankle Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Waldwick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.